Abstract：
OBJECTIVE: To provide evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum.
METHODS: This guideline provides evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum. This replaces the last version of the same name (Fertil Steril. 2016 Sep 1;106(3):530-40).
METHODS: Outcomes of interest included the impact of a septum on underlying fertility, live birth, clinical pregnancy, and obstetrical outcomes.
RESULTS: The literature search identified relevant studies to inform the evidence for this guideline.
CONCLUSIONS: The treatment of uterine septa and subsequent outcomes associated with infertility, recurrent pregnancy loss, and adverse obstetrical outcomes are summarized. Resection of a septum has been shown to improve outcomes in patients with recurrent pregnancy loss and to decrease the likelihood of malpresentation. In the setting of infertility, it is recommended to use a shared decision-making model after appropriate counseling to determine whether or not to proceed with septum resection.
METHODS: This guideline provides evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum. This replaces the last version of the same name (Fertil Steril. 2016 Sep 1;106(3):530-40).
METHODS: Outcomes of interest included the impact of a septum on underlying fertility, live birth, clinical pregnancy, and obstetrical outcomes.
RESULTS: The literature search identified relevant studies to inform the evidence for this guideline.
CONCLUSIONS: The treatment of uterine septa and subsequent outcomes associated with infertility, recurrent pregnancy loss, and adverse obstetrical outcomes are summarized. Resection of a septum has been shown to improve outcomes in patients with recurrent pregnancy loss and to decrease the likelihood of malpresentation. In the setting of infertility, it is recommended to use a shared decision-making model after appropriate counseling to determine whether or not to proceed with septum resection.
摘要：
目的：提供关于子宫中隔的诊断和手术治疗有效性的循证建议。
方法：本指南提供了关于子宫中隔手术治疗的诊断和有效性的循证建议。这将替换同名的最后一个版本（FertilSteril。2016年9月1日；106（3）：530-40）。
方法：感兴趣的结果包括隔膜对潜在生育能力的影响，活产,临床妊娠,和产科结果。
结果：文献检索确定了相关研究，为本指南提供证据。
结论：子宫间隔的治疗和随后的结局与不孕症有关，反复妊娠丢失,总结了不良产科结局。隔膜切除术已被证明可以改善复发性妊娠丢失患者的结局，并降低不良的可能性。在不孕症的背景下，建议在进行适当的咨询后使用共享决策模型来确定是否继续进行隔膜切除术.
方法：本指南提供了关于子宫中隔手术治疗的诊断和有效性的循证建议。这将替换同名的最后一个版本（FertilSteril。2016年9月1日；106（3）：530-40）。
方法：感兴趣的结果包括隔膜对潜在生育能力的影响，活产,临床妊娠,和产科结果。
结果：文献检索确定了相关研究，为本指南提供证据。
结论：子宫间隔的治疗和随后的结局与不孕症有关，反复妊娠丢失,总结了不良产科结局。隔膜切除术已被证明可以改善复发性妊娠丢失患者的结局，并降低不良的可能性。在不孕症的背景下，建议在进行适当的咨询后使用共享决策模型来确定是否继续进行隔膜切除术.
